JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Chicago Maritime School Course Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
Company Name (Not Req'd)
Your answer
Address:
*
Your answer
City:
*
Your answer
State: (2 letter format please)
*
Your answer
Zip:
*
Your answer
Contact Phone Number: (Please format: xxx-xxx-xxxx)
*
Your answer
E-Mail Address:
*
Your answer
Which Classes Are You Registering For?
*
Choose 1 or More
Master Self Propelled Vessels IGL/Near Coastal (Includes OUPV) - $1425.00
OUPV Inland/Great Lakes/Near Coastal Weekday - $975.00
OUPV to Master Upgrade Only IGL/Near Coastal (Must have OUPV Lic.) - $575.00
OUPV/Master Upgrade to Mate/Master 200 GT - $450.00 (Must have 1+ Years of OUPV/Master sea service)
Upgrade Inland/Great Lakes to Near Coastal Master - $425
Assistance Towing Endorsement - $175.00
Auxiliary Sail Endorsement - $175.00
Other (Please Put Course in Comments Section)
Required
Comments:
Your answer
If Applicable, please tell us who referred you to Chicago Maritime School?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
